RULES  AND  REGULATIONS 


TRUSTEES  AND  OFFICERS 


J 

LI  \ 

./    J 

L    ±1 

J  11       lt\7k^rL 

1     1    11   JJ. 

ADOVTET) 

BY 

THK 

xMEDICAL    SOCIETY    OF 

1 
SOUTH    OAROLTXA. 

ANT) 

THE 

TRUSTEES   OF   ROPER 

HOSPTTAU.                            1 

CHARLESTON : 

STE 

AM 

POWER 

PRESSES     OF     EVANS 

&    C  O  G  S  W  E  L  I, . 

3  Broad  and  103  East  Bay  StrePfs. 

1861. 

riMM. 


PERKINS  LIBRARY 

Uuke   University 


Kare  Dooks 


RULES  AND  REGULATIONS 


FOR    THE    GOVERNMENT    OF    THE 


TRUSTEES    AND    OFFICERS 


ROPER  HOSPITAL. 


ADOPTED  BY  THE   MEDICAL  SOCIETY  OF  SOUTH  CAROLINA, 
AND  THE  TRUSTEES  OF  ROPER  HOSPITAL. 


CHARLESTON . 

HTKAM-l'OWKR     PRESSKS    OF    EVANS    &    COGSWELL 
No.  3  Broad  and  103  East  Bay  Streets. 

1861. 


*» 


I 


TRUSTEES. 

JOHN  P.  CIIAZAIj,  M.  D.,  President  Medical  Society  of 

South  Carolina,  ex  officio,  Chairman 
1.  M.  CAMPBELL,  M.  J).,  Chairman  pro  tern. 
E.  HOPLBECK,  M.  D. 
WILLIAM  T.  WRAGG,  M.  J). 
JAMES  P.  JERVEY,  M.  D. 
JOHN  L.  DAWSON,  M.  D. 
THOMAS  G.  PRIOLEAU,  M.  D. 
HENRY  W.  He  SAUSSURE,  M.  D. 
FRANCIS  T.  MILES,  M.  D. 


WILLIAM  T.  WRAGG,  M.  D.,  Secretary  and  Treasurer. 


PRINCIPAL  OFFICERS. 

J.  FORD  PRIOLEAU,  M.  D Physician. 

WILLIAM  C.  HORLBECK,  M.  D Surgeon. 

HENRY  WINTHROP,  M.  D Con.'iulting  Physician. 

Prof.  E.  GEDDINGS,  :M.  D Consulting  Surgeon. 

ARTHUR  FAIRLEY Steward. 

MYRA  R.  FAIRLEY Matron. 


ORDER   OF   BUSINESS, 


1.  Minutes 'Read. 

2.  Reports  of  Committees. 

3.  Resolutions. 

4.  Miscellaneoi"s  Business. 


COPY  OF  WILL  OF  LATE  THOS.  KOPEK. 


T,  Thomas  Roper,  of  the  City  of  Charleston,  in  the  State  of  South 
Carolina,  mindful  of  th«»  uncertainty  of  life,  and  absolute  certainty  of 
death,  do,  whilst  of  disposing  mind  and  memory,  declare  this,  my  last  will 
and  testament,  hereby  giving,  devising,  and  bequeathing  to  my  only  ofl- 
spring,  Kobert  William  lloper,  his  heirs,  and  assigns  forever,  each  and 
every  part  and  parcel  of  my  estate,  real  and  personal,  whatsoever  and 
wheresoever,  with  the  exceptions  following: 

I  bequeath  fifteen  hundred  dollars  of  the  five  per  cent,  stock  of  this 
State  to  the  Second  Independent  or  Congregational  Church  in  Charleston, 
usually  denominated  the  Unitarian  Church;  being  a  congregation  of  Christ- 
ians, who,  unrestrained  by  Ecclesiastical  or  other  authority,  and  unshackled 
by  any  speculative  creed,  worship  one  Supreme  being  and  "  Him  only," 
nevertheless  attach,  as  a  condition  to  the  bequest,  that  neither  the  said 
fifteen  hundred  dollars,  or  any  part  thereof  shall  be  expended,  transferred, 
or  otherwise  appropriated  until  the  first  day  of  January,  18<iG — anterior  to 
which  day  and  year  the  interest  to  grow  due  on  the  said  fifteen  hundred 
dollars  may,  if  necessary,  be  expended  as  it  accrues.  Tnasnnich  as  the  said 
stock  is  not  subject  to  redemjition  before  the  first  day  of  January,  1846,. 
I  do,  from  and  after  such  period,  authorize  the  corporation  of  said  Second 
Independent  Congregational  Church,  being  a  fellowship  of  Christians  for 
the  worship  of  "the  only  true  (iod,"  to  appropriate  the  said  fifteen  hundred, 
dollars,  or  any  component  part  thereof,  in  any  way  or  manner  they  shall 
then  deem  most  beneficial  for  the  future  interest  of  the  said  Church.  To 
my  nephew,  George  Williams,  of  the  Kingdom  of  Great  Britain,  I  give 
four  hundred  dollars. 

Item.  Should  my  son,  Robert  William  Roper,  die  witliout  living  or 
posthumous  issue,  and  such  issue  die  under  twenty-one  years  of  age  without 
lawful  issue,  I,  in  such  case,  will  and  direct  that  my  lands  and  houses  In 
Charleston  be  disposed  of  as  is  hereinafter  s])ecificd,  but  I  Intend  not  by 
such  specification  to  restrict  my  son  from  selling,  bartering  or  otherwise 
disposing  of  any  part  or  parcel  of  suck  lands  and  houses,  contingently  de- 
vised to  him,  his  heirs  and  assigns  forever;  on  the  contrary,  I  hereby 
authorize  and  empower  him  whenever  .he  shall  see  fit,  to  make  valid  and 
sufllclent  titles  for  the  sale  of  any  and  every  part  of  the  property  I  die  pos- 
sessed of;  Provided,  such  sale,  barter  or  otiicr  disposition  thereof  be  for  an 
adequate  and  bona  fide  consideration,  It  being  my  design  should  my  son  die 


without  H\'ing  or  posthumous  issue,  op  leaving  issue,  ^ch  issue  die  umler 
twenty-one  years  of  age  wiflioiit  lawful  issue,  that  my  real  estati^  in 
Charleston,  or  the  intrinsic  value  thereof  shall  vest  in  the  mode  I  h*ve 
liereinafter  specified. 

Item.  I  herein  moreover  further  declare,  that  my  lands  in  Ch;iili-Tmi 
shall,  under  no  condition  or  consideration  whatever,  be  subject  in  wli 
]iart,  to  any  right  or  claim  of  Dower,-(which  the  widow  of  my  said  son  may 
claim  or  (h'uiand  under  any  prctejicc  or  inferal)le  right  whatsuever;  yet,  I 
intend  not  to  inliiliit  or  restrain  my  said  son,  should  he  die  without  issue, 
from  atl'urding  his  widow,  .«o  long  as  sne  may  remain  such  but  no  loiigei-,  a 
residence  in  my  present  dwelling  on  East  Bay,  «|^c  ])aying  the  taxes  and 
annual  insurances,  during  such  her  occupancy,  and  keeping  the  adjacent 
buililings  connected  therewith  in  thorough  repair. 

Tiem.  It  is  my  will  that  the  brick  buildings  as  devised  by  me  be  kept  in 
proper  repair,  an<l  if  they  be  not  severally  insured,  such  of  them  as  are 
now  covered  by  a  Policy  shall,  as  at  present,  continue  to  be  annually  in- 
sured, either  under  each  of  the  spi-cified  policies,  or  on  such  otlur  term-; 
and  ratable  proportions  as  shall  be  deemed  most  advisable. 

Item.  Should  my  son,  Robert  William  Roper,  die  without  isstu-,  or 
leaving  posthiunous  issue,  then,  and  only  then,  I  make  the  following  dis- 
position of  my  estate: 

To  my  nephew,  George  Williams,  rbequeath  four  hundred  dollars,  and  a 
like  sum  to  my  friend,  Robert  Williams,  of  Kentish  Town,  near  London,  in 
the  Kingdom  of  (Jreat  Britain.  To  each  of  my  slaves,  Robert  and  his 
sister  Peggy,  I  severally  give  an  annuity  of  one  hundred  dollars,  to  be  paid 
to  them  respectively  in  semi-annual  j)ayments.  To  the  Chaileston  Library 
.Society  I  leave  all  such  of  my  books  excepting  those  in  nianuscrij)t,  as  may 
not  have  been  retained  by  my  son.  The  volumes  of  my  Iblio  Bible,  if  not 
otherwise  bestoweil  by  my  said  son,  1  give  to  the  Unitarian  library  Society, 
enjoining  it  on  them  not  to  pennit  either  volume  to  be  taken  out  of  the 
Library  for  private  perusal ;  the  corrected  text  and  manuscrijit  notes  inter- 
spersed throughout  these  volumes,  were  chietiy  derived  from  the  most  emi- 
nent translators  and  conunentators,  and  though  nece.>isarily  limited,  do  as 
far  as  the  .space  there  afforded  would  admit,  jKjiiit  out  numerous  errors  in 
the  vernacular  version  of  the  Bible  now  in  general  use. 

Item.  Should  my  son  die  without  i.ssue,  or  leaving  posthumous  issue  such 
issue  die  under  age  without  lawful  issue,  I  give  ami  devise  to  the  Charles- 
ton ]\Iedical  Society  all  my  landed  estate  on  East  Bay  and  Queen  street, 
consisting  of  the  several  lots  and  houses  thereon,  now  known  by  tlie  follow- 
ing numbers,  viz:  on  East  !}ay  by  the  nund)ers,  157,  l.")I),  Ifil  and  l<;.'5,and 
on  Queen  street  by  the  numbers  2,  4  and  <!,  with  their  and  each  and  every 
of  their  appurtenances,  together  with  tlii-ir  nuits,  income  and  proceeds  of 
such  devise  from  the  tinu^  on  which  the  said  Society  may  become  jiossessed 
thereof,  oi-  if  intei-mediately  sold,  then  of  the  value  of  such  sales,  with  the 
income  and  interest  llieuceforward  to  accrue  tliereon,  to  enable  the  said 


Charleston  Medical  Society,  after  the  lapse  of  fourteen  years  ownership  of 
such  property,  or  its  intrinsic  value,  and  not  at  any  earlier  period,  unless 
♦■arlier  they  be  sufficiently  enabled  from  other  adequate  means,  to  erect, 
maintain  and  regulate  a  hospital  of  suth  dimensions  as  they  in  their  better 
judgment  may  direct,  for  the  permanent  reception  or  occasional  relief  of  all 
such  sick,  maimed  and  diseased  paupers  as  need  surgical  or  medical  aid, 
and  whom  without  regard  to  complexion,  religion  or  nation,  I  would  they 
should  admit  therein.  The  site  of  the  said  Hospit^^l  or  Infirmary  to  be  in 
or  near  Charleston. 

Item.  I  hereby  authorize  and  empower  the  said  Charleston  Medical 
Society  to  sell  and  make  valid  titles  hv  any  or  all  such  property  as  under 
any  contingent  devise  may  vest  the  fee  simple  in  them,  they  taking  a  mort- 
gage for  the  same  if  sold  on  credit. 

Item.  I  make  chargeable  the  funded  and  baak  stock,  which  will  devolve 
on  my  son,  as  a  residuary  part  of  my  estate,  with  the  payment  of  the  sev- 
eral conditional  legacies  and  annuities  lierein  before  specified. 

Lastly,  I  appoint  my  said  son  my  Executor,  but  should  he  depart  this  life 
without  living  or  posthumous  issue,  I,  in  such  case,  nominate  as  the  Execu- 
tor of  my  AVill,  the  President  of  the  Charleston  Medical  Society  for  the 
time  being,  and  his  successor  or  successors  in  the  oflice  of  President  of  the 
said  Society,  such  Executors  acting  in  strict  subservience  to  the  trust  I 
have  speciality  confided  in  the  said  Charleston  Medical  Society. 

Whereas,  on  the  making  and  executing  the  foregoing  Will,  dated  the  4th 
March  in  the  current  year,  I  conditionally  gave  and  devised  to  the  Medical 
Society  of  Charleston  (when  it  would  seem  no  such  Society  exists)  cer- 
tain lands,  but  have  subsequently  discovered  the  said  Society  was  incor- 
porated by  the  name  and  style  of  the  Medical  Society  of  South- Carolina, 
of  which  Dr.  Thos.  Y.  Simons  is  at  this  time  President ;  I,  therefore,  under 
such  their  corporate  name,  confirm  ray  said  conditional  donation — they  con- 
forming to  the  several  requisitions  I  liave  imposed. 


A  PLAN  OF  ORGANIZATION 

Fon  THE 

ROPER     HOSPITAL. 

Adopted  by  the  Medical  Society,  Jan.  3,  1856. 
SECTION"  I. 

OF  THE  DISTRIBUTION  OF  THE  PATIENTS  AND  GENERAL  APPORTION- 
MENT OF  THE  DIFFERENT  PARTS  OF  THE  BUILDING. 

Art.  1.  The  j)atients  shall  be  distributed  amoiiji;  the  various 
wards  in  such  manner  that  the  medical  and  surgical  cases  shall 
not  be  mingled  together  in  the  same  wards;  the  sexes  be  kept 
carefully  and  comijletcly  separated,  and  the  colored  paupers  be 
received  into  a  ward  distinct  from  all  others. 

Art.  2.  The  large  room  in  the  centre  of  the  building,  on  the 
second  floor,  shall  be  reseiwed  as  a  place  of  meeting  for  the 
Trustees,  a  Libi-ary  and  Pathological  Museum;  the  hitter  to 
be  formed  from  specimens  to  be  collected  as  hereinafter  pro- 
vided. 

SECTION  II. 

OF    THE    TRUSTEES. 

Art.  1.  The  Hospital  shall  be  managed  by  a  Board  of  Trus- 
tees, to  consist  of  nine  members.  The  President  of  the  Medi- 
cal Society,  for  the  time  being,  to  be  member  and  Chairman  of 
the  Board;  the  eight  others  to  bib  chosen  b}^  the  Medical  So- 
ciety, fi-om  among  its  members,  '\m  such  manner  that  two  shall 
be  elected  every  year  at  the  antriversary  meeting  of  the  So- 
ciety, to  serve  for  four  years,  and  who  may  be  re-elected  at  the 
end  of  that  time.     Any  vacanciesHhat  may  occur  in  the  Board 


10 

during  the  interval,  by  cither  death  or  resignation,  may  be  filled 
by  the  Board  until  the  next  anniversary  meeting  of  the  So- 
ciety. On  the  first  organization  utthe  Board,  the  present  Trus- 
tees shall  constitute  four  of  its  members,  and  the  Society  shall 
elect  four  others  to  serve  with  them.  The}'  shall  decide  by  li>t 
the  order  in  which  they  are  to  stand,  so  that  the  two  first  on  the 
list  shall  go  out  of  oHice  at  the  anniversary  meeting  of  tho 
Medical  Sor-i^fy.  ii>  U'lC,  ilio  iw"  n.'xt  ;ii  thai  of  l^fiT.  and 
so  on. 

Art.  2.  Slated  nuetings  of  the  Board  of  Trustees  shall  be 
held  at  the  Hospital  at  least  once  a  fortnight. 

AiiT.  3.  The  Trustees  shall,  at  the  first  meeting  of  their 
organization,  or  as  soon  thereafter  as  practicable,  and  after  the 
present  j'car,  annually,  at  their  first  meeting  after  the  anniver- 
sary meeting  of  the  Medical  Society',  elect  a  Steward,  Matron 
and  Treasurer,  and  at  the  first  meeting  of  the  Boai'd  subsecpient 
to  the  fifteentli  (loth)  of  i\Iarch,  elect  two  Doctors  of  Medicine, 
members  of  the  Medical  Society,  or  advanced  Students  of  Medi- 
cine, as  in  their  judgment  "vvill  best  subserve  the  intei-ests  of  the 
Hosj)ital  as  House  Physicians. 

Art.  4.  They  shall  establish  such  rules  for  the  regulation  of 
the  house  and  wards  as  they  may  from  time  to  time  sec  fit. 

Art.  5.  A  Committee  of  two  Trustees,  to  be  called  the  "Visit- 
ing Committee,"  shall  be  appointed  in  rotation  at  each  meeting* 
of  the  Trustees,  to  serve  until  the  next  meeting,  whose  duty  it 
shall  be  generally  to  supervise  the  affairs  of  the  Hospital,  to 
admit  and  discharge  all  patients  except  those  hereinafter  men- 
tioned, and  to  examine  and  vou£'h  the  Steward's  petty  cash 
accounts.  For  these  purposes  they  shall  attend  at  the  Hospital 
on  Mf)nday,  Wednesday  and  Saturday  of  each  week,  at  twelve 
o'clock,  M.,  or  any  other  hour  specified  by  the  Board.  They 
shall  see  that  regular  minutes  of  all  admissions  and  discharges 
of  patients  are  ke])t  by  the  Sleward,  and  shall  record,  in  a  book 
for  that  pur})0se,  all  orders  given  by  them  foi-  th'-  cxptMidinirt' 
of  money. 

Art.  ().  No  PliNsician  ^iiall  acl  a>  I'liL-Mn-  Mtnm:;  inv  it-iiii 
for  which  he  may  bo  elected  to  servo  the  Hospital  in  a  profes- 
sional capacity. 

Art.  7.  The  Trustees  shall  have  all  the  powers  now  enjoyed 
•by  the  present  lioard,   in   relation   to  the  management  of  th(# 
property  and  funds  of  the  Hospital  and  of  the   lioper  bequest. 


11 

The}^  shall  also  receive  and  expeml  for  the  support  of  the  Hos- 
pital, all  monies  derived  from  rents,  interests,  dividends,  etc., 
and  all  appropriations  which  may  be  made  by  the  City  Council, 
or  other  body,  for  that  purpose.  They  shall  also  receive  and 
invest  all  legacies,  donations,  etc.,  which  may  from  time  to  time 
be  given  to  this  charity. 

Art.  8.  They  shall,  as  they  sec  fit,  make  such  additions  or 
alterations  to  these  rules  as  the}'  may  deem  necessary  or  expe- 
dient: such  alterations  or  additions  to  be  submitted  to  the 
Society  for  approval  and  ratification. 

Art.  9.  They  shall  annually  submit  to  the  Medical  Society, 
at  its  anniversary  meeting,  and  nlso  to  the  Legislatui-e  of  the 
State  at  its  session,  a  full  and  comprehensive  statement  of  the 
affairs  of  the  Hospital,  and  of  the  state  of  the  fund. 

SECTION  III. 

OF    THE    CONSULTING    PHYSICIANS. 

Art.  1.  There  shall  be  elected  at  the  same  time,  and  in  the 
same  manner  as  the  Attending  Physicians,  two  Consulting 
Physicians,  one  for  the  Medical,  the  other  for  the  Surgical 
wards.  The}'  must  be  Doctors  of  Medicine  of  at  least  ten 
years  standing,  and  members  of  the  Medical  Society. 

Art.  2.  They  shall,  whenever  oflficially  called  on  by  the 
Attending  Physicians,  consult  and  advise  with  them  on  such 
diflScult  or  serious  cases  in  the  Hospital  as  the  latter  may  re- 
quest. 

SECTION  IV. 

OF    THE    attending   PHYSICIANS. 

Art.  1.  The  Medical  Society  shall,  on  the  organization  of  the 
Hospital,  and  after  the  present  year,  annually,  at  the  meeting  of 
the  first  of  Mandi,  elect  from  among  its  members,  two  Doctors 
of  Medicine — one  to  have  charge  of  the  Medical,  the  other  of  the 
Surgical  wards,  to  be  called  the  Attending  Physicians,  and 
who  shall  enter  upon  the  duties  of  their  office  on  the  first  dayf* 
of  April.  The}'  may  be  re-elected  so  often  as  the  Society 
see  lit. 

Art.  2.  They  shall  visit  the  Hospital  at  least  once  a  day,  in 
4|he  forenoon,  examine  and  prescrijlDe  for  all  patients,  and  have 
the  exclusive  and  entire  medical  direction  of  all  those  admitted 


12 

into  the  Hospital,  except  tlie  surirical  cases  belonginsr  to  the 
Medical  College,  and  admitted  It}-  agreement  into  the  ward 
of  the  colored  patients,  during  tiie  session  of  the  Medical 
College. 

Akt.  3.  On  the  occurrence  of  extraordinary  cases,  the}-  may 
call  in  the  ( 'onsultinLC  PIi\>i(ian  nr  Siii-ucon  .•i'^  i  In-  cm-c  im-i\-  1.i>, 
to  consult  with. 

AuT.  4.  No  iinpoi-tanl  surgical  oiteration  .>hall  l)e  pcrlDniKd 
without  previous  consultation,  and  llio  Trustees  must  be  noti- 
fied by  the  Steward  of  the  time  of  tiie  pr()])Osed  j)erformance  of 
such  operation,  except  whei-e,  IVoin  llir  extreme  urgency  oi  the 
case,  this  is  impracticable. 

Art.  5.  They  shall  report  to  the  "  Visiting  Committee"  any 
impropriety  or  neglect  which  they  may  observe  in  the  Ilospi-. 
tal.  For  gross  neglect  of  duty  they  may  dismiss  a  nurse,  and 
shall  report  the  same  to  the  Visiting  Committee  at  its  next 
meeting. 

Art.  6.  The}'  shall  each  keep  a  book  in  wliieli  the  syni])- 
toms,  diagnosis,  daily  ])iogress  and  treatment,  and  in  case  of 
death,  where  practicable  and  desirable,  the  post-mortem  exam- 
ination of  each  case  are  to  be  recorded,  as  hereinafter  pro- 
vided (Section  V,  Art.  4).  and  they  shall,  at  the  end  of  each 
quarter,  make  a  recapilulalion  of  the  same,  to  be  laid  belore 
the  Trustees,  and  by  them  before  the  Medical  Society  and  the 
City  Council. 

Jiesolved  by  the  Board  :  (^fuarter  days  shall  be  deemed  to  fall 
on  the  first  day  of  February,  May,  August  and  November. 

Akt.  7.  They  shall  each,  at  least  once  a  week,  Irom  the  lirst 
of  November  to  the  first  of  March,  deliver,  in  the  Amphitheatre 
of  the  Hospital,  a  Clinical  Ijccture,  on  such  interesting  medical 
or  surgical  cases  as  may  be  at  the  lime,  or  ma}'  recently  have 
been  in  the  wards  of  the  Hospital 

Art.  <S.  They  shall  ilecide  and  report  to  the  Visiting  Com- 
mittee when  patients  are  to  bo  discharged  from  the  Hospital. 

Akt.  'J.  The  Physician  having  charge  of  the  Surgical  ward, 
shall  attend  the  Colored  Manl  and  the  Obstetrical  eases. 

Akt.   lU.  They  shall  be  entitled  to  receive  for  their  services 
the  sum  of  ten  dollai's  for  each  tieket  sold  to  students,  for  Hos- 
pital attendance,  to  be  equally  divided  between  them,  and  such 
further  compensation  as  the  Trustees  shall  hereafter  determin<^ 
on,  according  to  the  state  of  the  Jlos])ilal  fund. 


Resolved  by  the  Board,  January  30,  1857 :  That  the  salarj^  of 
the  Attending  Phj'sicians  be,  for  the  present,  at  the  rate  of  five 
hundred  dollars  per  annum,  dating  from  the  term  of  their  elec- 
tion, and  that,  after  devoting  the  amount  received  from  the  sale 
of  tickets  to  that  purpose,  any  deficienc}^  remaining  shall  be 
made  up  from  the  funds  of  the  Institution. 

SECTION  V. 

OF   THK    HOUSE   PHYSICIANS. 

Art.  1.  The  House  Phj^sicians  shall  reside  in  the  Hospital,  in 
the  rooms  assigned  then\  by  the  Trustees,  and  shall  take  their 
meals  with  the  Steward.  The}'  shall  never  both  be  absent  from 
the  Hospital  at  the  same  time,  nor  leave  the  duties  of  their 
respective  posts,  without  permission  from  one  of  the  Attending 
Physicians.  In  case  of  the  absence  or  sickness  of  either  of 
them,  the  Attending  Physician  in  whose  wards  the  vacancy 
occurs,  shall  apjioint  a  substitute  until  his  recovery  or  return, 
subject  to  the  appi-oval  of  a  Visiting  Committee. 

Art.  2.  The^^  shall  have  charge,  alternately,  in  periods  of 
three  months,  of  the  Medical  and  Surgical  wards ;  they  shall 
attend  and  give  directions  for  the  management  of  all  patients 
on  their  admission,  and  until  seen  b^'  the  Attending  Physicians, 
and  they  shall  especiall}-  see  that  a  bath  is  administered  in  all 
cases  in  which  it  is  practicable  and  safe,  before  the  patient  is 
admitted  into  the  Hospital. 

Art.  3.  They  shall  accompany'  the  Attending  Physicians  in 
their  daily  visits  in  the  morning,  and  shall  visit  the  wards  in 
the  afternoon ;  the}-  shall  report  to  the  Attending  Physicians 
all  new  cases  which  may  have  been  admitted,  and  all  important 
changes  which  may  have  occurred  between  their  visits. 

Art.  4.  Thej-  shall  keep  a  daily  record  of  all  the  cases,  under 
the  direction  of  the  Attending  Physicians,  as  provided  in  Sec- 
tion IV,  Art.  4,  and,  as  soon  as  possible,  enter  it  in  the  Case 
Book  of  their  respective  departments.  They  shall,  also,  in 
their  respective  wards,  suspend  over  each  bed  a  slate  or  paper, 
with  the  name,  date  of  admission  and  disease  of  each  patient 
legibly  written  thereon;  shall  conduct  all  post-mortem  exami- 
nations, when  required  to  do  so  by  the  Attending  Physicians, 
and  shall  prepare  and. deposit  in  the  Museum  of  the  Hospital 
all  interesting  pathological  specimens. 


11 

Art.  5.  They  sliall  see  that  all  orders  and  prescriptions  of  the 
Attending  Phj'sicians,  as  regards  tl^  medicine,  diet,  etc..  of 
the  patients,  are  accurately  carried  out;  and  they  shall,  alter- 
nately, M'cek  by  week,  superintend  the  compounding  and  dis- 
pensing of  all  medicines  ordered.  They  shall  have  general 
superintendence  of  the  nurses,  and  shall  report  neglect  of  duty 
on  their  part  to  the  Attending  JMiysicians,  or  to  the  Steward. 

Art.  G.  The  House  Physician,  having  charge  of  the  Surgical 
ward,  shall  see  that  the  instruments  are  kept  in  order,  and 
shall  not  loan  any  of  them,  except  on  a  written  order  of  the 
Attending  Physician  of  the  Surgical  wards.  lie  shall  also 
prepare  all  patients  for  operations. 

Art.  7.  As  a  compensation  for  their  services,  they  shall  each 
receive,  in  addition  to  their  hoard  and  lodging,  at  the  end  of  a 
year,  and  for  no  less  a  jieriod,  the  sum  of  one  hundred  dollars, 
or  a  testimcjiiiai  of  that  value,  provided  their  conduct  has  been 
entirely  satisfactoi-y  to  the  Attending  Physicians  and  to  the 
Trustees. 

SECTION  Yl. 

OF    THE    STKWAKD    AND    MATRON. 

Art.  1.  The  Steward  shall  have,  undci-  the  Visiting  Tommit- 
tec.  the  general  care  and  superintendence  of  the  Hospital,  the 
Iniildings  and  grounds;  he  shall,  under  the  direction  of  the 
Board  of  Trustees,  make  all  necessary  purchases  of  fuel,  pro- 
visions, stores,  etc..  for  the  safe-keeping  and  economical  use  of 
which  he  shall  be  responsible;  he  shall  keep  regular  accounts 
of  receipts  and  expenditures  of  money,  which  must  be  laid 
before  the  Board  at  each  meeting.  He  shall  also,  under  the 
direction  of  the  Trustees,  purchase  medicines  for  the  use  of  the 
Hospital. 

Art.  2.  He  shall  collect  and  receive  all  dues  from  ])atients, 
and  all  moneys  deposited  by  them — the  same  to  be  placed  to 
their  credit.  He  shall  pay  over  to  the  Treasurer,  at  each 
meeting  of  the  Trustees,  all  moneys  in  hand  belonging  to  the 
Institution. 

Art.  8.  He  shall,  subject  to  the  a])]))'oval  of  the  I'rustees, 
hire  all  nurses  and  domestics,  and  shall  ])articularly  see  that 
they  arc  attentive  to  their  duties,  kind  to  the  sick,  and  obe- 
dient to  the  directions  of  the  Physicians.     He  shall  i-eport  aur 


15 

improper  conduct  or  neglect  on  their  part  to  the  Visiting  Com- 
mittee. 

Art.  4.  On  the  death  of  any  jiatient,  he  sliall  immediately 
have  the  body  conveyed  to  the  room  provided  for  the  purpose ; 
and  shall  forthwith  report  to  the  Visiting  Committee  whetlier 
the  deceased  left  any  clothes  or  articles  of  value,  and  take 
their  directions  relative  to  the  same. 

Art.  5.  He  shall  see  that  no  patient  goes  out  of  the  Hospital 
without  permission  ;  he  shall  not  suffer  any  persons  to  visit  the 
patients  or  the  wards  except  at  sueh  hours  as  may  be  appointed 
by  rule  of  the  Trustees,  unless  in  cases  of  emergency,  or  by  a 
permit  from  one  of  the  Trustees  or  Attending  Physicians. 

Art.  6.  The  Matron,  who  must,  if  practicable,  Ijo  the  wife  of 
.the  Steward,  shall  assist  him  in  preserving  cleanliness  in  the 
wards  and  buildings.  She  shall  have  esi:)ecial  care  of  the  bed- 
ding and  clothing  J  and  shall  su])orintend  the  pi'c])aration  of 
the  food  and  diet  of  the  patients. 

Art.  7.  The  salary  of  the  Steward  shall  be  five  hundred  dol- 
lars per  annum ;  that  of  the  Mati-on  three  hundred  dollars  per 
annum,  payable  quarterly. 

SECTION  VII. 

OP    THE    ADMISSION    AND    DISCHARGE   OF   PATIENTS. 

Art.  1.  Persons  wishing  to  be  admitted  on  the  charity  of  the 
Hospital  must  pi'esent  themselves  before  the  Visiting  Commit- 
tee, at  the  Hospital,  on  Monda}",  Wednesda}^  and  Saturday,  at 
12,  M.,  or,  if  unable  to  do  so,  application  may  be  made  by 
some  friend  in  their  behalf 

Art.  2.  Cases  of  accidental  wounds  and  injuries,  or  of  sudden 
attacks,  or  other  cases  of  emergency,  may  be  admitted  at  any 
time  on  order  of  the  Trustees,  Att(^iiding  or  House  Physicians, 
the  Maj'or  of  the  City,  or  Cominissioner  of  the  City  Poor; 
such  cases  to  be  submitted  to  the  Visiting  Committee  at  its  next 
subsequent  meeting. 

Art.  3.  Women  coming  into  the  Hospital  for  the  purpose  of 
lying-in,  shall  be  admitted  onlj^  when  parturition  is  imminent, 
and  shall  bo  discharged  a  fortnight  after  confiuement. 

Art.  4.  Pa}"  patients  may  be  admitted  by  the  Trustees,  ^he 
Attending  Physicians,  or  the  8t.cw;;rd;  the  rate  of  board  ti)  be 
hereafter  fixed  by  the  Trustees.  V  n-  the  payment  of  this,  the 
Steward  shall  take  proper  security. 


16 


Bate  of  Board : 
For  less  than  one  week — 

Public  Wards  at  the  rate  of  S7.00  per   week. 

Private  Wards *'  10.00    " 

Over  one  week — 

PuMic  Wards SO. 75  per  day. 

Private  Wards 1.00     " 

Art.  5.  No  ]>ersofl  whu  is  afloeted  with  an  incurable  disease 
shall  be  admitted  on  the  cliarity  of  tlie  Hospital ;  but  may  be 
admitted  on  paying  such  a  rate  of  board  as  may  be  fixed  by 
the  Trustees.  No  per.son  having  a  contagious  disease  shall  be 
admitted  into  tlie  Hospital. 

Art.  G.  Patients  are  to  be  discharged  as  soon  as  they  are 
cured;  and  all  charity  patients  whose  cases,  after  three  months 
treatment,  shall  be  deemed  incurable  by  the  attending  Phj-si- 
cian,  shall  be  discharged,  unless  permitted  to  remain  by  a 
special  vote  of  the  Trustees. 

SECTION  VIII. 

OF    TlIK    ADMISSION    OF    STUDKNTS    OF    MEDICINE. 

Art.  1.  vStudents  of  Medicine  shall  be  admitted  to  the  wards 
of  the  Hospital  during  the  visits  of  the  attending  Ph3^sician8, 
and  to  the  Clinical  Lectures  and  Surgical  Operations,  on  the 
payment  of  five  dollars  for  tickets  of  six  months,  or  ten  dollars 
for  tickets  of  one  year,  which  must  be  shown  to  the  gate-keeper 
to  entitle  them  to  admission.  Tickets  to  run  six  months  or 
one  year,  respectively,  from  date.  Students  holding  tickets 
shall  be  admitted  into  the  wards  only  at  (he  times  above 
specified. 


HXJT.ES 

FOR    THK 


GOVERNMENT    OF   THE    HOSPITAL, 

ADOPTED  BY  THE  TRUSTEES- 


»ECTI()X  I. 


CONCERNING    TIIK    TRUSTEES. 


Art.  1.  When  any  five  members  have  met,  they  sluvU  forth- 
with proceed  to  business. 

Art.  2.  No  member  shall  be  allowed  to  speak  more  than 
twice  on  any  question  under  debate,  unless  to  explain  or  with 
the  permission  of  the  Trustees. 

Art.  8.  Each  member,  when  speaking,  shall  address  the 
chairman  by  the  title  of  "Mr.  Chairman,"  standing  and  uncov- 
ered. When  the  chairman  desires  to  be  heard  on  any  subject 
under  discussion,  the  members  shall  keep  their  seats  while  he 
is  speaking. 

Art.  4.  If  two  or  more  members  rise  to  speak  at  the  same 
time,  the  chairman  shall  determine  who  was  first  up. 
.  Art.  5.    All  matters  of  order  shall  be  decided  by  the  chair- 
man, except  when  any  member  glial!  appeal  to  the  Trustees. 

Art.  ().  P]ach  member,  when  si)eaking,  shall  adhere  to  the 
question  under  discussion.  When  a  member  rises  to  speak  to 
order,  tiic  member  interrupted  shall  give  over  the  debate,  until 
the  question  of  order  is  first  determined. 

Art.  7.  When  a  motion  is  made  and  seconded,  it  shall  be 
reduced  to  writing,  also  all  reports,  and  delivered  to  the  cliair- 
man. 

9 


18 

Art.  S.  Wlien  a  motion  of  adjournment  is  made  and  seconded, 
there  shall  be  no  debate,  nor  any  question  taken  up,  until  the 
Board  have  decided  thereon j  and  no  motion  of  adjournnient 
shall  be  renewed  in  less  than  a  (|iiartc'r  of  an  hour  ;iftoi-  llie 
preceding  has  been  reject cl 

Art.  0.  Whenever  the  yeas  and  nays  shall  be  called  for  by 
any  two  niembers,  they  shall  be  entered  on  the  journals;  but 
an  individual  member  may  cntrr  his  protest  on  any  decision  of 
the  Trustees.  0 

AuT.  10.  If  the  Tj'usti'L's  bo  not  formed  within  fifteen  min- 
utes after  the  hour  appointed,  no  member  shall  bo  compelled  to 
remain  longer. 

Art.  12.  The'  different  committees  shall  be  appointed  by  the 
Chairnian  ;  exctjit  when  specially  required  by  the  Trustees  that 
they  be  elected. 

Art.  13.  The  Trustees  ♦^hall  meet  once  a  fortnight,  on  Friday, 
at  four  o'clock,  from  the  first  of  October  to  the  first  of  April, 
and  at  five  o'clofk.  from  tlio  first  of  %\y»vil  to  tlic  first  of  Octo- 
ber. 

Art.  14. — The  Chairman  shall  have  power  to  call  an  extra 
meeting,  when  he  deems  it  neci'ssary  or  when  reciuirod  In' three 
members  of  the  Board. 

Art.  15.  The  Trustees  will  annually  elect  tlie  following  offi- 
cers : 

1.  A  Steward  and  Matron. 

2.  Two  House  Physicians. 

3.  A  Cell  Keeper,  at  a  salary  of  S2  10  per  annum. 

4.  A  Chairman  pro  tem. 

5.  A  Secretary  and  Treasurer,  at  a  salary  of  S400  per  annum. 

6.  A  ])erson  to  supply  Meats,  Grist,  Milk,  Bread  and  "Fuel. 

7.  A  Book  and  Door-keeper,  at  a  salar}'^  of  $300  per  annum. 
'8.  A  Gardener,  at  a  salary  of  $150  per  annum. 

Art.  16.  The  Treasurer  is  authorized  to  pay  the  salaries  of 
the  otiicers  quarterly  when  due — they  being  properly  vouched. 

SECTION  II. 

CONCERNINO  'COM  MlTTKi:S. 

Art.  1-.  A  Committee  on  Finance — Who  shall  audit  and  report 
on  all  accounts — which  accounts  shall  be  regularly  entered. 
They  shall  likewise  direct  all  investments  of  the  funds  of  the 


19 

Institution,  and  the  Treasurer  shall  in  no  instance  invest  any 
of  the  funds  in  his  liands  but  in  the  manner  prescribed  by 
them.  They  shall  not  let  out  any  of  the  premises  belonging  to 
the  fund  without  taking  personal  securitj'  for  the  same. 

Art.  2.  .1  Committee  of  Purvryunce  and  Supervision. — To  pur- 
chase all  supplies  for  the  Institution,  as  shall  not  otherwise  be 
obtained  by  contract,  and  rendcM'  a  quarterly  exhibit  of  their 
expenditures.  They  shall,  moreover,  see  that  the  Steward  and 
Matron  do  their  duty  in  I'elation  to  the  supplies  of  fuel,  bread, 
meat,  groceries,  and  other  articles  of  necessity  or  consumption, 
and  conform  to  each  and  every  of  the  several  rules  and  regu- 
lations which  ai-e,  or  may  be  prescribed  for  their  government. 

Art.  3.  A  Committee  on  Retrtnehments. — To  examine  the  state 
of  the  Institution  whenever  the  Hoard  slwU  require,  and  to  re- 
port whether  any  retrenchments,  and  to  what  amount,  may  be 
made  in  the  expenditures  of  the  Institution. 

Art.  4.  A  Committee  on  Lunacy. — To  examine  all  persons 
sent  to  this  Institution  as  Lunatics,  or  who  may  at  any  time 
be  charged  as  such,  and  report  the  result  of  such  examination, 
and  the  proceedings  thereon,  to  the  Board. 

Art.  5.  .1  Committee  on  Repairs. — To  examine,  from  time  to 
time,  the  condition  of  the  house,  cells  and  out-buildings,  and 
report  to  the  Board  such  repairs  as  they  deem  necessary,  and 
also  supervise  the  execution  of  such  measures  as  may  be  adapt- 
ed to  remedy'  the  same. 

Art.  6.  A  Committee  on  Furniture.— ^o  make  a  semi-annual 
report  of  all  the  furniture  of  the  house,  kitchen  and  cells,  Avith 
the  beds,  bedding,  etc.,  and  report  such  additions  to  the  same 
as  ma}^  be  needed  for  the  Institution,  and  purchase  the  same. 

Art.  7.  A  GommiUec  on  the  Library. — To  enter  in  a  book  pro- 
vided for  the  purpose  the  names  of  all  books  in  the  Library, 
entering  therein  as  soon  as  received  all  new  books  obtained  by 
purchase  or  donation  ;  to  superintend  also  the  general  arrange- 
ment of  the  Libraiy  and  Books,  and  see  that  the  latter  are 
not  removed  without  a  written  permit  from  one  of  the  mem- 
bers. They  shall  also  examine  semi-annually,  and  from  time 
to  time,  as  they  deem  propei",  the  Case  Books  of  the  House 
Physicians,  for  the  purpose  of  ascertaining  if  they  are  properly 
And  fully  written  up. 


20 

SECTION  III. 

* 

rONCKRNINO  TllK  STEWARK  AND  THK  MATROX. 

Art.  1.  The  Steward  sluill  kocit  a  register  of  all  persons 
admitted  into  the  IIosj)ital,  spocilying:  first,  the  time  of  adinis- 
si(»n  ;  second,  their  names;  third,  ages;  fourth,  plaee  of  nativ- 
ity; filth,  time  and  place  of  settlement  or  last  abode;  sixth, 
trades  and  ooeiipations ;  seventh,  hy  whose  order  sent  to  the 
Ilospital ;  eighth,  time  of  death  oi-  dismission;  ninth,  ntnnlx'v 
of  days  from  admission  to  death  or  discharge. 

Art.  2.  He  shall  keep  a  registry  of  all  tickets  sold  to  stu- 
dents with  the  date  of  sale,  an<l  the  time  for  which  they  are 
taken;  ])ay  over  the  proceeds  to  the  Ti-easurer,  ho  giving  a 
recci])t  for  the  same,  and  i'C|)ort  llie  nnmher  sold  at  each  regu- 
lar meeting  of  the  Board. 

Art.  i].  He  shall  be  held  responsible  for  the  safe-keeping  of 
the  Minutes  of  the  Board,  which  shall  be  considered  strictly 
private.  No  one,  except  members  of  the  Board,  or  some  one 
presenting  a  written  order  from  a  member,  shall  be  allowed 
at  any  time,  or  under  any  circumstances,  to  have  access  t<>  s:ii(l 
Minutes. 

Art.  4.  He  shall  keep,  in  a  sjiccial  book,  a  correct  inventory 
of  all  the  linen,  beddings,  tables,  chairs,  bedsteads  and  other 
household  and  kitchen  furniture  belonging  to  the  house,  show- 
ing the  (piantity  and  condition  of  them  respective!}- ;  and  he 
shall  add  to  and  alter  the  said  inventory  as  new  articles  are 
])r()cured,  or  any  of  the  old  worn  out.  and  he  shall  renew  the 
same  inventory  oiico  in  every  three  months,  and  lay  the  book 
containing  it  before  every  meeting  of  the  Trustees.  And  the 
said  articles  shall  be  examined  or  counted  semi-annually  by  the 
('ommittee  on  Furniture;  antl  also  at  such  other  limes  as  the 
Trustees  may  think  proper. 

Art.  5.  Ho  shall  make  a  daily  memorandum  of  the  quantity 
of  bread,  meat,  groceries,  fuel,  and  other  articles  furnished 
under  contract,  or  otherwise  procured  for  the  Hospital,  whicii 
niomortindum  he  shall  exhibit  to  the  Trustees,  or  any  of  them, 
when  the  quarterly  aceoimts  are  examined,  ami  at  any  odier 
tinio  when  required. 

Art.  6.  He  shall  report  to  the  Trustees,  quarterly,  the  quan- 
tity of  groceries  consumed  in  the  ll(ts]»ital  dui-ing  the  (|naj'ter 
preceding  such  report. 


21 

Art.  7.  He  shall  suporinteiul  all  within  the  Hospital  and  the 
out-buildings,  and  other  premises  attached  to  it;  and  shall 
take  care  that  the  rules  of  the  Hospital,  and  the  orders  of  the 
Trustees  be  duly  observed;  and  that  the  clothing,  bedding  and 
other  articles  furnishej.1  be  not  wasted,  destroyed  or  sold,  and 
shall,  without  delay,  re])ort  to  the  Trustees  or  the  Visiting 
Committee,  every  person  who  shall  waste,  destroy  or  sell  any 
such  articles. 

Art.  8.  At  each  meeting  of  the  Trustees,  he  shall  report  to 
them  in  writing  the  number  of  patients  admitted  into  the  Hos- 
pital since  the  next  preceding  meeting,  the  number  discharged, 
as  recovered  or  relieved,  the  number  and  names  of  those  who 
have  died,  specifying  the  cause  of  death,  and  also  the  number  of 
officers,  nurses,  etc.,  in  the  Hospital.  He  shall  also  notify  the 
Board  of  all  patients  remaining  in  the  Hospital  over  the  time 
specified  in  the  plan  of  organization.  He  shall  also  take  charge 
of  and  pay  over  to  the  Treasurer  all  monej'  or  effects  of  value 
found  on  the  persons  of  patients  dying  in  the  Hospital,  specify- 
ing the  same  in  his  next  regular  report.  He  shall  also  report  to 
the  Board  all  sums  of  money  received  and  paid  by  him  on 
account  of  the  Hospital;  from  whom,  or  to  whom  received  or 
paid ;  for  what,  and  the  dates  of  the  respective  receipts  and 
payments.  He  shall  also  Report  all  matters  relating  to  the 
affairs  of  the  Hospital,  or  occurring  therein,  worth}-  of  the  con- 
sideration of  the  Trustees. 

Art.  9.  He  shall  cause,  at  the  first  ringing  of  the  city  bell, 
all  lights  and  fires  in  the  Hospital  and  premises  to  be  carefully 
extinguished,  every  evening  (except  such  as  it  may  be  abso- 
lutely- necessary  to  keep),  which  he  shall  put  under  proper 
care. 

Art.  10.  He  shall  see  that  the  door  and  gates  of  the  Hospital 
and  premises  are  at  all  times  well  secured;  and  the  Porter  shall 
neither  admit  nor  let  out  any  inmate  without  the  permission  of 
a  Trustee  or  Visiting  Committee,  or  of  one  of  the  Attending  or 
House  Physicians. 

Art.  11.  He  shall  carefully  attend  to  the  security  and  man- 
agement of  insane  persons  lodgdl  in  the  Maniac  cells,  for 
which  purpose  he  shall  have  a  Cell  Keeper  as  his  assistant,  to  be 
appointed  by  the  Trustees,  and  shall  also  have  a  right  to  take 
to  his  aid  any  of  the  sub-officers  of  the  Hospital,  whose  duty  it 


!>hall  lie  t(»  execute  Iiis  orders  in  seiiirinir  and  atioiuHng  to  tlie 
iii.saiie,  ami  keejiiiiij  the  eells  in  frinnl  oriler. 

Anr.  12.  ITe  shall  take  care  that  the  ijarden  bo  duly  culti- 
vated, and  constantly  jirovided  with  such  seasonable  vegeta- 
bles and  lii-rbs  as  are  suitable  for  ibc  kit«'hen  and  the  useof'thc 
sick. 

Airr.  1;!.  lie  shall  be  retjuired  (o  ivfnse  admission  into  the 
lIosj)ital  to  Coroners,  or  Maifistratis  acting  as  Coroners,  for  the 
purpose  of  holding  imjuests  on  the  bodies  of  jicrsons  d^Mng  in  the 
Hospital,  saving  where  such  officer  affirms  that  there  exists  in 
his  own  mind  susj)icion  of  guilt  or  negligence,  or  when  he  may 
have  been  exjiressly  sent  lor;  or  no  certificate  of  the  cause  of 
death  has  been  given  by  tlic  A( tending  oi-  House  Physicians. 

Art.  14.  The  Matron  shall  take  care  that  the  rooms  bo 
pro]>erIy  swept,  and  the  beds  made  every  day;  that  the  win- 
dows lie  froqucnth'  opened  for  airing  the  Hospital,  under  direc- 
tion of  the  Physicians,  and  that  the  Hospital  and  windows 
be  washed  as  often  as  shall  be  deemed  necessary,  or  ordered 
bj'  the  Visiting  Committee;  thai  the  bed-clothes  bo  shifted,  and 
the  bods  be  kej»t  clean  from  vermin  ;  and  that  all  foul  linen  be 
waslied  in  due  time,  and  with  ])roper  care.  She  shall  bo  s|)o- 
ciall}- charged  with  the  su])erintendttneo  and  care  of  the  females 
in  the  Hospital,  and  shall  observe  that  the  nurses  and  others, 
emjdoj'ed  under  her  direction,  behave  with  becoming  attention 
and  humanit}-  to  the  sick,  and  discharge  their  several  duties 
with  diligence  and  fidelity;  for  which  services,  and  others 
which  may  be  i-equircd,  the  Trustees  oi*  Visiting  Committee 
shall  select  such  poi'sons  from  among  the  inmates  of  the  Hos- 
pital as  they  may  deem  fit  and  sufficient  to  assist  the  Matron. 

When  any  ])crson  dies  in  the  Hospital,  the  Matron  shall  im- 
mediately take  chai'ge  of  bis  oi"  her  clothes,  cause  them  to  be 
washed,  and  if  necessary,  amended,  and  deliver  them  to  the 
Master,  who  shall  dej)osi(  them  in  a  jilaco  of  safety,  and  givi' 
an  account  thereof  to  the  Trustees. 

Art.  IT).  She  shall  be  required  to  make  a  report,  in  I'onnec- 
tion  with  the  Steward's  bi-weekl}'  report,  in  which  a  detailed 
statement  shall  be  made  of  the  articles  taken  out  tor  washing, 
the  condition  in  which  they  are  returned;  also,  of  all  break- 
age of  crockei-y.  and  all  loss  by  weai-  and  tear  of  Hospital 
furniture. 


23 

Art.  16.  The  Stewai-d  and  Matron  shall,  generally,  perform 
all  such  duties,  and  execute  all  such  orders,  relative  to  their 
respective  offices,  as  are  herein  prescribed,  or  may  be  pi'escribed 
to  them  by  the  Trustees. 

SECTIOK  IV. 

CONCERXING    ADMISSION   INTO    HOSPITAL,  AND  DISCIIAUGE  THEREFROM. 

Art.  1.  All  persons,  upon  their  admission,  shall  be  examined 
by  the  House  Physician,  to  ascertain  whether  the}'  are  free 
from  (bul  distempers,  and  otherwise  clean,  and  then  disposed  of 
as  the  Attending  Phj'sician  may  direct;  and  such  as  have  any 
contagious  disorder  or  are  unclean,  shall  be  kept  apart  from 
others  until  the}^  are  cured  and  cleansed. 

Art.  2.  No  inmate  of  the  Hospital  shall  be  discharged  there- 
from but  by  order  of  the  Trustees,  or  of  the  Visiting  Commit- 
tee, or  the  Attending  Phj-sicians;  and  any  person  who  shall 
have  brought  in  any  furniture  or  clothing,  shall  be  permitted, 
when  discharged,  to  take  awa}-^  the  same,  unless  the  Trustees 
shall  order  otherwise. 

SECTION  V. 

CONCERNING   DIET. 

Art.  1.  The  Trustees,  with  the  Physicians,  shall  regulate  the 
diet  of  the  Hospital,  from  time  to  time,  as  they  may  deem  fit, 
and  give  dii'ections,  in  writing,  to  the  Steward,  relative  thereto, 
which  he  shall  pursue  until  he  receives  other  directions. 

Art.  2.  In  case  of  omission  on  the  part  of  the  Attendinar 
Physicians,  to  order  articles  nccessaiy  for  the  well-being  of 
patients,  the  House  Physicians  shall  be  authorized  to  order 
them,  and  the  Steward  is  hereby  required  to  furnish  the  same: 
Provided,  that  the  House  Physicians  give  a  written  order  for 
the  same — the  order  to  be  confirmed  by  the  Attending  Physi- 
cian at  his  next  subsequent  visit. 

Art.  o.  The  Matron  shall  take  care  that  the  food  and  drink 
be  properl}'  and  seasonably  cooked  and  prepared,  and  properly 
distributed;  and  also  that  the  table  linen,  dishes,  2Dlates,  cook- 
ing utensils,  etc.,  be  clean  and  in  decent  order. 

Art.  4.  All  the  inmates  of  the  Hospital,  who  are  able  to 
attend  at  meals,  shall,  upon  due  notice  being  given,  meet  at 
the  time  and  place  appointed  for  the  same,  and  mess  together, 
according  to  the  order  settled  by  the  Steward,  under  the  direc- 


24 

tion  of  the  Trustees.  Suoh  as  shall  not  so  attend  any  meal,  with- 
out a  sufficient  reason  for  nonattendanec.  shall  lose  that  meal. 

Art.  .').  The  Sic-wanl  <n-  Matron  shall  be  present  at  every 
meal,  to  preserve  order  and  propriety  of  behavior.  Those  who 
misbehave  at  the  table  l»y  beint,'  clamorous,  quarrelsome,  rude,  or 
otherwise  unruly, shall  be  removed,  and  deprived  of  the  next  meal. 

Art.  G.  The  sick  shall  lie  furni>he<l  by  the  Steward  with  such 
diet  as  the  Physician  ut'  the  Hospital  shall  i>re8cribc. 

Uid  of  Sulj-O^^cers—Iiu.ster  for   Wee/:. 

Sunday — Beef  with  rice  and  seasonable  garden  vegetables. 

Monday — Beef  and  potatoes, 

Tuesday — Muiton  and  iiolatoes.  i 

Wednesday — Corned  beef  and  cabbage. 

Thursday — Mutton  with  rice  anil  vegetables,  as  on  Sunday. 

Friday — Codfish  and  potatoes. 

Saturday — Pork  and  beans. 

At  the  rate  of  11  lbs.  meat,  2^  gills  of  rice,  8^  gills  of  pota- 
toes, and  i  pint  beans  for  each  indivitlual.  4  oz.  tea.  12  oz?  cof- 
fee, 1  lb.  sugar,  lU  oz.  butter,  per  week,  for  each  individual. 

Ordinnnj  Diet  for  Patients. 

Diet,  Xo.  1 — Tea  and  bread,  morning  and  evening;  I  ]tint  of 
gruel  or  of  arrowroot,  four  times  a  day. 

Diet,  No.  2 — Hominy  and  milk  for  lireakfast;  i  j)int  soup  at 
12,  M.  and  4,  v.  m.;  tea  and  bread  in  evening. 

Diet,  No.  3 — A  mutton-chop  or  beefsteak  in  addition  to  No.  2. 

Diet,  No.  4 — ll^use  fare:  hominy  and  molasses  tor  breakfast, 
with  tea  and  bread;  1  quart  of  soup,  %  lb.  beef  or  mutton,  with 
potatoes  or  beans;  pudding  twice  a  week  for  dinner;  tea  and 
bread  in  the  evening. 

It  is  at  the  discretion  of  the  Physicians  of  the  Hospital  to 
order,  in  addition  to  any  one  of  them,  or  in  lieu  of  any  article 
in  either,  whatever  they  may  think  necessar}-  for  any  particu- 
lar case. 

SECTION  VI. 

CONCERNING  THE  CONDUCT  OF  THE  INMATES  OF  THE  HOSPITAL. 

Art.  1.  All  inmates  of  the  Hospital  shall  behave  respectfully 
toward  those  set  over  them,  and  civilly  tOAvard  each  other;  bo  so- 


25 

ber  and  orderly  in  their  deportment ;  keep  themselves  properly 
washed  and  combed;  change  their  linen,  and  attend  generally 
to  the  decent  appearance  and  preservation  of  their  clothes. 

Art.  2.  No  inmate  of  the  Hospital  shall  wilfully  deface  or 
injure  auy  part  of  the  Hospital  or  premises;  or  disturb  the 
Hospital  by  clamor  or  noise;  or  quarrel  or  fight  with,  strike,  or 
use  foul  or  abusive  language  toward  another;  or  behave  dis- 
respectfully to  any  of  those  having  authority  in  the  Hospital; 
or  bring  into  the  hospital  or  drink  any  intoxicating  liquor;  or 
steal,  or  use  profane  or  indecent  language,  or  be  guilty  of  lying 
or  lewdness,  or  any  other  immoral  conduct;  or  be  unrul}'  or 
perverse,  or  disobey  the  reasonable  commands  of  the  Steward 
or  Matron  :  any  inmate  so  offending  shall  he  liable  to  confine- 
ment in  the  cells  for  one  or  more  days,  at  the  discretion  of  the 
Physician  in  whose  ward  the  ott'ence  occurs;  and  the  Steward 
shall  write  in  a  book  the  names  of  all  disorderly  patients,  and 
the  offence  for  Avhich  they  are  noted. 

Art.  8.  No  inmate  of  the  Hospital  shall  directh'  or  indirect- 
ly beg  for  money,  or  any  other  thing,  of  any  person  visiting 
the  Hospital. 

Art.  4.  No  one  confined  in  the  cells  shall  be  visited  b}-  any 
person  iinless  with  the  consent  of  the  Visiting  Committee,  or 
one  of  the  Trustees,  or  of  the  Physician  attending  the  Medical 
wai'ds,  or  the  House  Physician  in  charge  thereof. 

Art.  0.  No  inmate  of  the  Hospital  shall  go  out  of  the  prem- 
ises without  Avritten  permission  from  one  of  the  Trustees,  or  of 
the  Attemling  or  House  Physiciiin,  specifying  when  and  hoAV 
long  he  or  she  ma}'  be  absent.  If  any  one,  gf>ing  out  by  per- 
mission, shall  be  guilty  of  misconduct  while  abroad,  or  shall 
return  intoxicated,  or  shall  not  return  at  the  appointed  time, 
or  shall  bring  liquor  into  the  Hos])ital,  the  name  of  such  person 
shall  be  reported.  If  the  Porter  shall  suspect  one  going  out  of 
improperly  carrying  away  anything,  or  an}-  one  coming  in  of 
bringing  intoxicating  liquors  or  stolen  property  into  the  Hos- 
pital, he  shall  forthwith  stop  such  persons,  and  give  notice 
thereof  to  the  Steward.  No  inmate  of  the  Hospital  shall  be 
permitted  to  be  absent  from  it  after  sunset,  under  the  penalty 
of  being  discharged. 

Art.  6.  If  any  inmate  of  the  Hospital  shall  elope  therefrom, 
such  person  shall  not  be  received  back  unless  upon  application 
to  the  Trustees  at  a  regular  meeting. 


RULES  AND  KHGULATIONS  FOR  THE  GOVERNMENT 
OF  THE  PHYSICIANS.. 

Rule  1.  Jl  ^iliall  he  their  duty,  when  a  patient  lias  recovered, 
anil  been  discharged  from  the  Hospital,  to  enter  the  name  of 
such  person  in  a  hook  to  he  kept  lor  the  purpose  in  the  ottiee  of 
the  Steward,  which  book  shall  be  open  for  the  inspection  and 
information  of  the  Trustees  and  Visiting  Committee. 

]{ULE  '1.  Thej'  shall  not  absent  themselves  troni  their  duties 
in  the  Hospital  without  permission  of  the  Visiting  Committee, 
and  leaving  Pliysicians  to  ivpresent  them,  to  be  approved  of  by 
the  Committee.  If  the  period  of  expected  absence  from  the 
Hospital  exceeds  two  weeks,  they  must  apph*  to  the  Board  of 
Trustees  in  writing  for  permission  to  absent  themselves,  stating 
the  j)eriod  during  which  they  may  be  absent,  and  the  Physician 
who  will  assume  their  duties  during  their  absence;  such  substi- 
tute must  be  entirely  acceptable  to  the  Board.  In  no  case  shall 
their  absence  from  their  duties  exceed  one  month,  without  the 
unanimous  consent  of  the  Board. 

Rlle  8.  It  shall  be  their  duty  on  every  Monday  to  renew 
their  orders  in  writing  (in  a  book  to  be  kept  for  the  purpose) 
for  exti'a  diet,  spirituous  liquors,  etc.,  and  all  such  orders  not 
renewed  shall  be  discontinued;  l)ut  they  may  countermand  any 
order,  within  the  week,  tliat  they  think  ])roj)ei-. 

Rule  4.  It  shall  be  their  duty  to  enforce  the  regulations  for 
the  government  of  the  Nurses  and  Patients,  and  shall  punish 
refractory  and  disorderl}-  patients  in  any  wa}'  they  may  tliink 
proper,  not  contrary  to  the  general  regulations  of  the  Hospital ; 
and  when  the}'  shall  impose  any  punishment,  the}-  sliall  give  a 
written  order  to  the  Steward  to  carry  the  same  into  effect,  who 
shall  be  bound  to  obey  the  same,  and  malve  a  report  thereof  to 
the  Visiting  Committee. 

Rule  5.  The  patients  in  this  Institution  siiall  not,  be  attended 
b}'  any  other  Physicians  than  the  regular  Physicians  of  the  In- 
stitution, or  such  as  shall  attend  for  them  during  their  absence 
from  the  city,  or  from  sickness. 

Rule  G.  The  Physicians  of  this  Institution  shall  not  be  en- 
titled to  remuneration  from  any  individual  for  attendance  on 
any  person  or  persons  admit tcfl  into  the  Hospital. 

Rule  7.  Whenever  the  Physicians  shall  require  for  the  imme- 
diate use  of  their  patients  an}'  articles  of  clothing  or  bedding, 
they  shall  give  a  written  order  to  the  Steward,  who  shall  fur- 
nish the  same;  but  if  not  in  immediate  want  of  the  said  articles, 


tlie  Steward  shall  make  tlie  requisitions  of  the  Physicians  known 
to  the  Committee  5f  Purveyance,  who  shall  furnish  the  same, 
or  give  an  order  for  their  proeurement. 

Hulk  8.  The  Physician  shall  have  the  power  to  remove  a 
maniac  from  one  cell  to  another.  Frovided,  that  under  no  cir- 
cumstances shall  they  remove  a  maniac  of  one  sex  to  an}'  cell 
in  the  department  allotted  to  the  othqr  sex.  * 

lliJLE  0.  It  shall  be  the  dutj'  of  the  Physicians  to  see  that 
all  their  ordcr^  arc  regularly  carried  into  etfect  by  the  Nurses 
of  the  Hospital  and  Maniac  department;  that  the  patients  are 
well  treated,  their  medicine  regnlarl}^  given,  and  their  diet 
regularly  furnished,  and  the  cells  be  kept  clean  and  comfortable. 

KuLE  10.  It  shall  be  the  duty  of  the  Physicians  to  rcportto 
the  Board,  quarterly-,  the  nun^ber  of  persons  who  have  been 
admitted  into  the  Hospital  and  ^faniac  department  for  treat- 
ment, and  the  result  of  the  eases;  and  shall  keep  a  book,  in 
which  the}^  shall  enter  their  names,  their  diseases,  the  number 
recovered  and  dischai-ged  from  the  said  departments,  and  the 
number  who  have  died.         * 

EuLE  11.  The  visiting  hours  of  the  Physician  of  the  Institu- 
tion shall  be  within  the  hours  of  8,  a.  m.,  and  10,  a.  m. 

KuLE  12.  The  Physician  in  charge  of  the  Surgical  and  Obste- 
trical wards  shall  have  authority  to  make  such  rules  on  the 
subject  of  admitting  students  of  medicine  into  the  l3nng-in  wards 
as  h^may  deem  most  appropriate. 

IluLE  18.  Neither  of  the  House  Physicians  shall  be  absent 
from  the  Hospital  for  more  than  one  week  witiiout  the  consent 
and  permission  of  the  Board  of  Trustees. 


RULES  AND  PvE(;ULAT10NS  FOR  Tlft^  GOVERNMENT 
O?  THE  PATIENTS  IN  THE  HOSPITAL. 

Rule  1.  Every  patient,  on  entering  the  Hospital,  shall  be 
washed,  shifted  and  put  to  bed  clean. 

Rule  2.  No  dirty  clothing  shall  be  carried  into  the  wards, 
but  be  delivered  to  the  Master. 

Rule  o.  All  the  patients,  on  the  Physician's  entei'ing  the 
wards,  shall  retire  to  their  beds,  and  remain  there  until  he 
leaves  the  Hospital. 

Hi  LE  4.  No  smoking,  loud  talking,  boisterous  conduct,  crowd- 


28 

ing  around  the  stove,  spitting  on  or  (Icfacing  the  stove  or  floors, 
shall  be  anowed. 

IJi  i-K  o.  No  sjMritiKMis  liquovs.  nor  articles  of  diet,  drink, 
medicine,  or  anything  else  whatever,  shall  he  brought  into  the 
Hospital,  excej)!  by  special  permission  of  the  Physieiati. 

JiLLi:  (J.  No  patient  shall  be  permitted  to  leave  the  Hospital, 
without  a  written  order  from  the  IMiysician. 

JUl-K  7.  All  convalescents  shall  diet  with  the  iiimau-.-  <>!  ihe 
Hos])ital,  at  the  usual  hours,*uiiless  otherwise  Ordered  by  the 
Physician. 

\{v\.K  >'•.  No  patient  shall  carry  victuals  to  hi-  Im.I;  hm  the 
Nurses  shall  attend  them  with  nourishment. 

JiULK  0.  No  victuals  of  any  Uind  shall  be  used  i>y  Lhc  [)a- 
tionts  ex<-opt  the  diet  of  the  Hospital. 

Hi;lk  Id.  All  lights  to  be  \nil  out  in  the  wards  at  eight 
o'clock  in  winter,  and  nine  in  summer,  except  such  as  are  actu- 
ally necessaiy. 

Ill  i,K  11.  Any  patient  having  been  discharged  from  the  ]Ios- 
pital  for  imj)ropor  conduct,  and  jigain  obtaining  admission. 
shall   be  placed  in  the  cells. 


i)UTlP]S  AND  POWERS  OF  THE  8TEWA1H)  IN  RELA- 
TION TO  THE  HOSPITAL  AND  MANIAC  DEPART- 
MENTS. « 

RvLY.  1.  It  shall  be  the  duty  of  the  Steward,  during  the  ab- 
sence of  the  Physician,  to  see  that  the  Nurses  perform  their 
dutj^  as  prespribed  by  their  regulations,  that  the  patients  are 
well  attended,  and  that  no  riot  or  disorderly  conduct  be  alloweil 
in  the  wards. 

liuiiK  2.  That  in  case  of  non))erformance  of  the  duty  of  the 
Nurses,  or  disorderly'  coiuluct,  it  shall  be  his  dut}'  immediately 
to  suspen<l  him  or  hci-.  and  substitute  ^ome  person  in  theii- 
place,  until  hetnfoi-ms  the  Physician  of  the  same. 

lluLE  ii.  In  case  of  the  disorderly  conduct  of  any  of  the 
patients,  it  shall  be  his  duty  to  conline  them  (if  jtracliealde) 
until  lu-  gives  information  to  tiie  Physician. 

Kiii.i;  4.  Ministers  of  i-eligion  desiring  to  visit  (his  Hospital, 
shall  be  suffered  to  do  so  iietween  the  houi's  ai'  t\vel\e  o'clock, 
M.,  and  six  o'clock,  v.  m.,  daily,  or  tit  any  other  time  at  which 
they  may  be  specially  called   upon,  upon   condition,  and  only 

e 


29 

upon  condition  of  previouslj'  applj'ing  to  the  Steward,  and  re- 
ceiving his  consent  to  tlie  same;  and,  furthermore,  of  confining 
the  exercise  of  their  sacred  functions  exclusively  to  such  of  the 
inmates  as  are  of  the  same  religious  denomination  with  them- 
selves, and  wholly  lefraining  fi-om  all  interference  or  officious- 
ncss  with  the  rest. 

Rule  5.  The  ChairnKin  of  the  Board,  upon  report  of  viola- 
tion of  above  rule  l»eing  received,  shall  be  required  to  notify  the 
individual  or  individuals  so  offending  of  the  incongruity  of  his 
or  their  conduct  with  tlie  laws  of  the  Institution,  i-equiring  him 
or  thcn\  (o  discontinue  the  same;  and  also,  of  the  rule  which 
will  compel  the  Board,  upon  its  intentional  repetition,  of  ex- 
cluding him  or  them  for  the  future  from  the  privileges  accorded 
to  the  profession  in  general. 

Rule  G.  Such  admonition  having  been  given,  any  pi-olcssion- 
al  visitor,  thenceforward  repeating  the  oft'eiice,  shall  be  pre- 
cluded from  entering  the  door  or  doors  of  the  Hospital,  unless 
])roper  assurance  be  given  of  intention  faitVfull}'  to  conform  to 
these  requisitions,  ado])ted  with  a  view  to  promote  a  courteous, 
if  not  harmonious  disciiarge  of  the  Christian  charities  in  the 
visitations  to  the  unfortunate  objects  of  the  benefice. 

Rule  7.  It  shall  be  his  dutj'  to  see  that  all  the  wards  are 
kept  clean,  and  have  all  the  tilth  and  dirt  removed  as  soon  as 
])ossible. 

Rule  8.  It  shall  be  his  duty,  as  soon  as  a  dvath  occurs,  to 
have  the  body  removed  to  the  dead-house  or  otherwise,  and 
have  the  clothes,  bed,  linen,  etc.,  washed,  and  the  straw  burnt. 

Rule  9.  It  shall  be  his  duty  to  give  notice  to  all  persons 
bringing  patients  into  the  Hospital  that,  in  the  event  of  the 
death  of  such  patients,  no  announcement,  through  the  news- 
pajiers  or  otherwise,  of  any  burials  from  the  Hospital,  will  be 
permitted.  The  body  of  a  patient  dying  in  the  Hospital  shall 
not  be  removed  from  th^  iiouse  unless  decently  enclosed  in  a 
proper  coffin. 

Rule  10.  It  shall  be  his  duty  to  see  that  the  Cell-keeper  and 
the  Nurses  in  the  Maniac  department  perform  their  duty  well, 
and  follow  strictl}''  the  orders  of  the  Physician  ;  and  in  case  of 
neglect  or  disorderly  conduct,  he  shall  be  authorized  to  suspend 
them,  and  report  to  the  Physician  and  Visiting  Committee. 

Rule  Jl.  It  shall  be  the  duty  of  the  Steward  to  remove  all 
persons,  who  have  bee  ;  discharged  by  tlie  Physician,  Irom  the 


30 

Hospital,  immcdiatch',  and  not  pirinit   any  persons  to  romain 
who  arc  not  nndor  the  IMij-sician's  care. 


RULES  FOK  THE  (JOVERNMEXT  OF  THE  XURSFS  IN 
Till-:  iroSPITAL  AXl)  M AXFAC   DKPARTMENTR. 

RiLK  1.  Jt  shall  he  the  duty  <>1'  the  X^urses  to  attend  the 
Phj'sieiaMs  whenever  they  visit  the  wards,  and  ij;ive  eveiy  in- 
formation of"  the  state  and  conduct  of  the  patients  durinj;  Ids 
absence;  and  the  Physician  of  the  ]los}(ital  shall  attend  all 
such  cases  except  the  Surgical,  which  shall  he  turned  over  to 
the  Surgeon. 

Rule  2.  It  shall  he  lluir  duty  to  rcj)ort  to  the  Physician  in 
charge  (or  in.  hia  absence  to  the  Steward),  any  disorderly  con- 
duct of  the  patients  during  his  absence. 

Rui.K  3.  Jt  shall  be  their  duty  to  follow  strictly  the  orders  of 
the  Pliysician  in  charge,  in  ailministering  medicine,  nourish- 
ment, or  any  othcr'orders  lie  shall  give.  • 

Rule  4.  It  shall  be  tlu'ir  duty  to  attend  to  the  comfort  ot 
the  patients,  to  treat-  them  kindly,  particularly  those  confined 
to  their  beds,  and  see  that  all  tilth  and  nuisance  are  removed 
from  their  beds  as  soon  as  possible. 

Rule  5.  It  shall  be  the  duty  of  the  Cell-keeper  and  Nurses 
in  the  Hospital  ;ind  ]\[aniac  departmeni,  to  keep  the  wards  in 
clean  and  decent  order,  and  gee  that  the  bedding  and  persons 
of  patients  are  kept  clean. 

Rule  0.  It  shall  be  the  duty  of  the  ("ell-kecper  and  Nurse  ot' 
the  Maniac  department  to  attend  all  j)ersons  placed  in  that 
department,  whether  maniac  or  not,  so  long  as  tlfry  remain 
there. 

Rule  7.  Il  shall  be  the  duty  of  the  Cell-keeper  an<l  Nurses 
of  the  Maniac  dcpartnu'iit  to  i-eside  in  that  depai'Iment,  and 
observe  particularly  all  tlic  regulations  relating  to  the  same. 

Rule  8.  It  shall  he  tlie  duty  of  the  ( V'll-k-eeper  or  chief 
Nurse  in  the  Maniac  department,  to  search  a  maniac  as  soon 
as  admitted,  and  take  from  him  or  her  every  knife  or  othei- 
weapon  in  his  or  her  jjosses.sion. 

Rule  'J.  Jt  shall  be  the  duty  of  the  Cell-keeper  or  chief 
Nurse  of  the  Maniac  Jlospital  to  allow  no  visitor  to  enter  the 
department  unless  accomnaini'd  bv  the  I'hvsician.  Steward  or 
Matron. 


31 

Hulk  10.  The  Cell-keepev  or  chief  Knrse  in  the  Maniac  de- 
partment shall  not  suflfer  a  knife,  billet  of  wood,  or  anything 
calculated  to  do  harm  or  injury,  to  remain  in  the  department, 
under  a  penalty  of  forfeiture  of  one  months  wages. 

EuLE  11.  A  head  Nurse  may  be  appointed  when  deemed 
advisable  by  tlie  Board,  whoso  duty  it  shall  be  to  have  general 
supervision  of  all  the  Avards,  and  be  directly  responsible  to  the 
Trustees  for  all  oiiiissions  of  duty  and  improper  conduct  on  the 
part  of  the  Nurses;  he  shall  be  allowed  a  salary  of  two  hundred 
and  forty  dollars  (§240)  per  annum;  if  acting  also  as  Apothe- 
cary, he  shall  receive  an  additionul  compensation  of  five  dollars 
(fo)  per  month.  The  salai'ies  of  the  sub  Nui'ses  shall  be  one 
hundred  and  eighty  dollars  ($1S0)  per  annum,  and  they  shall  be 
under  the  direction  and  control  of  the  head  Nurse,  when  such 
officer  exists. 

Rule  12.  Whenever  any  of  the  sub-officers  are  discharged  for 
improper  conduct,  their  wages  from  last  pay-day  shall  be  for- 
feited. 

KuLE  13.  The  Nurses  shall  be  held  responsible  for,  all  avoid- 
able damage  to  clothing,  furniture,  etc.,  in  their  respective 
wards. 

Rule  14.  If  any  of  the  Nurses  or  sub-officers  desire  permission 
to  leave  the  Hospital,  aj^plication  must  first  be  made  to  the 
^Steward — if  there  is  no  objection  on  his  part,  the  permission 
must  be  approved  by  one  of  the  House  Phj-sicians. 


BOOK  AND  DOOR  KEEPER. 

The  Board  may,  at  their  discretion,  appoint  an  officer  to  be 
called  the  Book  and  Door  Keeper,  whose  duty  it  shall  be  to  at- 
tend the  door,  register  the  admissions,  discharges,  descriptions, 
etc.,  of  the  patients,  transcribe  the  minutes  of  the  Board  from 
the  rough  to  the  permanent  minute  book,  give  notice  to  Com- 
mittees and  others  concerned  of  any  duties  devolved  on  them 
by  the  action  of  the  Board,  and  to  record  such  other  matters 
as  he  may  from  time  to  time  be  directed  bj'  the  Trustees.  As 
a  compensation  for  these  sei'viees,  he  shall  receive  a  salary  of 
three  hundred  dollars  (^300)  per  annum.  In  the  absence  of 
snch  officer,  the  Secretary  is  authorized  to  employ  some  com- 
petent person  to  transcribe  the  minutes  for  the  sum  of  sixty 
dollars  ($60)  per  annum. 


1  X  1)  !•:  \' 


PA«r. 
Trustees  aiiil  I'rineijial  Oflieers,         .....  .'? 

Order  of  Busiiies.s,  .  .  .  ,  .  .  .1 

Adoptf'i/  hy  the  Mxliral  Societi/. 

Skc.  1. — Of  tlie  Distribmion  of  the  I'atients  and  fJeneral  Apportion- 
ment of  the  different  pails  of  tlie  Huildin;;,  .  .  0 
Skc.  2.— Of  tlie  Tru.stees,  .....  Ihiil 
Skc.  3. — Of  the  Consultin<r  Phv.sieian.  .  .  .  .11 
Skc.  4.— Of  the  Attending,'  J'hysicians,  .  .  .  .  Ihid 
Sec.  5.— Of  the  Honse  Physieian.s,         .             .             .             .             .     l.J 

Sec.  6. — Of  the  Steward  and  Matron,         .  .  .  .14 

''  .  .    .  . 

Skc.   7. — Of  the  Achnission  and  Discharjie  of  Patients,  .  .1.5 

Skc.  8. — Of  the  A(hnis.««ion  of  Students  of  Medielhc,         .  .  16 

4 

Adopted  by  the  Trustees. 

Sec.  1. — Concerning  tlic  Trustee?,  .  .  .  .  17 

Sec.  2. — Concerning  Committees,  .  .  .  .18^ 

Sec.  3. — Concerning  the  Master  and  the  Matron,  .  .  20 

Sec.  4. — Concerning  the  A(hnission  into  the  Hospital,  and  Discharge 

tlierefrom,       .  •  .  .  .  .  .  23 

Sec.  5. — Conceining  Diet,         .  .  .  .  .         .       Ibi<l 

Sec.  6. — Concerning  the  Conduct  of  Inmates  of  the  Hospital,       .  25 

Rules  and  Regulations  for  tlie  (iovernnient  of  the  Physicians,     .         .        20 
Rules  and  Jlegiilations  for  the  (Government  of  the  Patients  in  the  Hos- 
pital, .  .  .  .  .  27 

Duties  and  Powers  of  the  blaster  in  relation  to  the  Hospital  and  Maniac 

Dejiartnients,         .  .  .  .  .       '28 

Rules  for  the  (iovernment  of  I  lie  Nurses  in  the   Hospital  and  jManij^c 

Departments,  ....  .30 

Book  and  Door  Keeper,  .  •   .  .  .  .  .31 


I 

f 


